Jump to content
×
Are you looking for the BariatricPal Store? Go now!

So nervous I will be denied by insurance [emoji53]



Recommended Posts

I have one appointment left before they will submit to insurance. My insurance did not require the 6 months of appointments with the nutritionist, just 2 years weight history, documented weight loss fails, blood work, and bmi over 40 or 35-40 with 1 comorbidity. At my initial consult I had a bmi of 41, and I am on medication for high blood pressure, gerd, and have arthritis. I have a letter from my obgyn and primary care recommending surgery due to my current health and my family history of heart disease and diabetes sleep apnea etc. The only thing I have for documented weight loss is a personal statement. I never did any doctor supervised diets, or diet pills. Hoping the letters from my pcp and ob are enough. I'm just so nervous I feel sick over all of it.... After reading all the blogs I know these feelings are not unusual.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

What you have done should be enough, good luck to you. I am awaiting insurance approval too!

Share this post


Link to post
Share on other sites

I'm also waiting on approval. I have had six months of appointment, sleep apnea test, scope down my throat to check for ulcers, a psych evaluation and many many tubes of bloodwork. I had my stuff submitted to insurance on Sept 2. They said it would be 2 weeks. They came back right away with a denial due to the hospital not being Accredited, which it is. So they went back to the insurance company...and I am sitting here waiting. They are super quick to come back with a denial but don't mind taking their time for approval. I'm a nervous wreck!! I stare at my phone all day waiting for the call.

Good Luck to you....I will keep wishing u a speedy approval

Sent from my SAMSUNG-SM-G930A using the BariatricPal App

Share this post


Link to post
Share on other sites

Different insurance companies require different conditions for approval. I had to have the 6 month structured diet program and it couldn't be a personal statement, but I didn't have to lose 5% in those 6 months, which other insurance companies do require with the structured diet program. My approval was in 1 day too. Your surgeon's office should make sure all of conditions are met before submitting as it can be difficult to overturn a denial.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×